Hyväksymispäivämäärä

Tiivistelmä

Mental health disorders are among leading public health challenges in health care services. Beliefs, attitudes, and practices regarding clinicians' care for their patients in adult psychiatric services have been changing over the past century with new views particularly focused on helping the children of mentally ill parents by clinicians. The present study deals with successful implementation of child mental health measures in psychiatric services for adults.

The aim of the present study is to establish if the clinicians, having no or very little basic training in prevention or in clinical work with children, can be trained and are able to carry out child-centered and family-based preventive methods with fidelity, and if the methods are feasible to be practised in adult psychiatric services.

Results: the clinicians benefited from the log books in utilizing two preventive interventions. The interventions were feasible for implementation and were delivered with fidelity. The clinicians reported that the working relationship with parents correlated with the children's motivation and openness during Family Intervention, and the motivation and openness in the Child's Session were related to the parental openness in the intervention sessions. The clinicians' assessments of both interventions were very positive.

In conclusion, both intervention methods are feasible and can be implemented in the psychiatric services for adults with fidelity to the principles and the structure of the interventions. Family-based and child-centered public health interventions can be implemented in adult mental health services.

Asiasanat:prevention, promotion, family-based, child-centred, feasibility and fidelity of the intervention, and implementing prevention